Individual
JENNIFER KRIDELBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HOSPITAL RD, WAYNESVILLE, MO 65583-2634
(573) 774-5353
Mailing address
1000 HOSPITAL RD, WAYNESVILLE, MO 65583-2634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2009035448
MO
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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